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Louisiana rates for HCPCS 22868

Insertion of interlaminar/interspinous process stabilization/distraction device, without fusion, including image guidance when performed, with open decompression, lumbar; second level (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.00 / $1,300.00 / $3,685.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,345.46 / $4,661.45 / $6,547.69
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.62 / $209.62 / $209.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.00 / $543.00 / $1,560.00